Infections with a spinal cord injury

When a person has a spinal cord injury, they may have trouble with lung congestion and breathing.

This happens because there may be weak breathing muscles. This weakness makes it more difficult to take a deep breath or cough. Congestion can build up quickly. It can lead to infections or collapse the tiny air sacs in the lungs.

To avoid serious breathing problems, pay close attention to these signs.

  • Increased mucous in the lungs
  • Thick mucous
  • Green, yellow or red mucous
  • Fever of 101° or greater
  • Increased need to cough
  • Feeling rattling over the chest area
  • Shortness of breath

  • Take a fever-reducing medicine such as acetaminophen.
  • Deep breathe and cough often. Use your incentive spirometer.
  • Do postural drainage and clapping to loosen mucous.
  • Drink plenty of fluids. If you do ICs, you may need to adjust your program.
  • Increase turn times when in bed.
  • Stop smoking and stay away from secondhand smoke.
  • Call your doctor and report your symptoms.
  • Say active. Get out of bed regularly unless your doctor tells you not to.

  • Stay active. Get out of bed regularly unless your doctor tells you not to.
  • Deep breathe and cough often. Use your incentive spirometer.
  • Stop smoking and stay away from secondhand smoke.
  • Eat a well-balanced diet and get enough rest each day.
  • Get flu and pneumonia shots with your doctor’s approval.
  • Avoid people with colds or flu.
  • Dress appropriately for the weather.

Oral care is very important. Poor oral care can produce the start of an infection.

  • Good brushing of the teeth, gums and tongue, and keeping up with dental appointments is important.
  • Consider using an antiseptic mouthwash once a day.
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